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Regence BlueShield of Washington prior authorization, page 28

CPT code lookup

Each row is one code from the public prior authorization list. The description is the procedure or service name on that source row. This is not a coverage decision.

Prior authorization codes

Prior authorization codes
CodeDescriptionSource
31647Bronchial ValvesCommercial Pre-authorization List, Pg 1 Original policy
31648Bronchial ValvesCommercial Pre-authorization List, Pg 1 Original policy
31649Bronchial ValvesCommercial Pre-authorization List, Pg 1 Original policy
31651Bronchial ValvesCommercial Pre-authorization List, Pg 1 Original policy
15788Chemical PeelsCommercial Pre-authorization List, Pg 1 Original policy
15789Chemical PeelsCommercial Pre-authorization List, Pg 1 Original policy
15792Chemical PeelsCommercial Pre-authorization List, Pg 1 Original policy
15793Chemical PeelsCommercial Pre-authorization List, Pg 1 Original policy
17360Chemical PeelsCommercial Pre-authorization List, Pg 1 Original policy
69930Cochlear ImplantCommercial Pre-authorization List, Pg 1 Original policy
L8614Cochlear ImplantCommercial Pre-authorization List, Pg 1 Original policy
L8619Cochlear ImplantCommercial Pre-authorization List, Pg 1 Original policy
L8627Cochlear ImplantCommercial Pre-authorization List, Pg 1 Original policy
L8628Cochlear ImplantCommercial Pre-authorization List, Pg 1 Original policy
11922Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
17106Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
17107Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
17108Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
19355Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
21230Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
21244Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
21245Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
21246Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
21248Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
21249Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
21295Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
21296Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
41510Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
49250Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
54360Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
69300Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
G0429Cosmetic and Reconstructive ProceduresCommercial Pre-authorization List, Pg 1 Original policy
J2789Corneal Cross-LinkingCommercial Pre-authorization List, Pg 1 Original policy
31641Cryosurgical Ablation of Miscellaneous Solid Tumors Outside of the LiverCommercial Pre-authorization List, Pg 1 Original policy
32994Cryosurgical Ablation of Miscellaneous Solid Tumors Outside of the LiverCommercial Pre-authorization List, Pg 1 Original policy
50542Cryosurgical Ablation of Miscellaneous Solid Tumors Outside of the LiverCommercial Pre-authorization List, Pg 1 Original policy
61850Deep Brain StimulationCommercial Pre-authorization List, Pg 1 Original policy
61860Deep Brain StimulationCommercial Pre-authorization List, Pg 1 Original policy
61863Deep Brain StimulationCommercial Pre-authorization List, Pg 1 Original policy
61867Deep Brain StimulationCommercial Pre-authorization List, Pg 1 Original policy
61868Deep Brain StimulationCommercial Pre-authorization List, Pg 1 Original policy
61885Deep Brain StimulationCommercial Pre-authorization List, Pg 1 Original policy
61886Deep Brain StimulationCommercial Pre-authorization List, Pg 1 Original policy
37215Extracranial Carotid Angioplasty and Stenting and Embolic Protection DevicesCommercial Pre-authorization List, Pg 1 Original policy
37216Extracranial Carotid Angioplasty and Stenting and Embolic Protection DevicesCommercial Pre-authorization List, Pg 1 Original policy
37217Extracranial Carotid Angioplasty and Stenting and Embolic Protection DevicesCommercial Pre-authorization List, Pg 1 Original policy
37246Extracranial Carotid Angioplasty and Stenting and Embolic Protection DevicesCommercial Pre-authorization List, Pg 1 Original policy
37247Extracranial Carotid Angioplasty and Stenting and Embolic Protection DevicesCommercial Pre-authorization List, Pg 1 Original policy
C7532Extracranial Carotid Angioplasty and Stenting and Embolic Protection DevicesCommercial Pre-authorization List, Pg 1 Original policy
C7563Extracranial Carotid Angioplasty and Stenting and Embolic Protection DevicesCommercial Pre-authorization List, Pg 1 Original policy

Sources

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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